Grounded for Peace Wellness Services, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

GROUNDED FOR PEACE WELLNESS SERVICES, PLLC

Practice address

1250 Revolution Mill Dr Ste 262
Greensboro, NC 27405-5218

Phone

(336) 688-6217

Fax

(833) 817-7048

NPI assigned

Oct 17, 2018

Last updated

Oct 17, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amanda Vaughan, LCSW, LCAS, CCSNPI 1760554158

Title

Owner

Phone

(336) 688-6217

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Vaughan, LCSW

  • Clinical Social Worker
  • Greensboro, NC
  • NPI 1760554158
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1053887075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 REVOLUTION MILL DR STE 262",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055218",
            "telephone_number": "336-688-6217",
            "fax_number": "833-817-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 REVOLUTION MILL DR STE 262",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055218",
            "telephone_number": "336-688-6217",
            "fax_number": "833-817-7048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUNDED FOR PEACE WELLNESS SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-688-6217",
        "authorized_official_credential": "LCSW, LCAS, CCS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas William Grosman
• Lisa Ann Gross, PA-C
• Steven Cummins Gross, MD
• Mareida Grossman-Orr, LCSW
• Janelle M Grossman
• Kimberly Elizabeth Grove, LCSW
• Steven Grove, CP
• Kevin R Grover, PTA
• Siobhan M Groves, MA
• Growing Hearts Safe Haven, LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.